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Jev A. Clark, DMD, MD, LLC — NPI 1831686468, Salem, OR | NPI Central

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NPI 1831686468

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Jev A. Clark, DMD, MD, LLC

NPI 1831686468 · Oral and Maxillofacial Surgery (Dentist) · Salem, OR

Provider details

NPI number: 1831686468
Entity type: Organization
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Organization subpart: No
Authorized official: Jev Clark, Doctor(503) 371-6000
License: D10561 (OR)

Specialties & taxonomies

Oral and Maxillofacial Surgery (Dentist)Primary1223S0112XLicense D10561 (OR)
Dental Providers

Practice location

120 Ramsgate Sq S Ste 110

Salem, OR 97302-5870

Phone: (503) 371-6000

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

120 Ramsgate Sq S Ste 110

Salem, OR 97302-5870

Other names (DBA / former)

Doing business as: Clark Implant & Oral Surgery

Registry dates

Enumerated: 2018-04-19
Last updated: 2018-04-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.